Complex Aortic Coarctation Research Articles

Technique for extraanatomic bypass in complex aortic coarctation

A variety of approaches and surgical techniques have been described for the management of recurrent coarctation. When there is an additional intracardiac defect that requires surgical correction it is preferable to correct both lesions simultaneously and through the same incision. This article reports two new techniques of connecting ascending to descending aorta using an intrathoracic conduit and performed through a median sternotomy.

Aortic obstructions in infants and children: Surgery for complex aortic coarctation

Coarctation of the aorta is a constellation of aortic obstructive lesions that may occur from the ascending to descending abdominal aorta. It is frequently associated with a variety of other obstructive and nonobstructive intracardiac defects. A strategy for the management of these lesions is presented encompassing the indications for operation, preoperative management, and operative techniques, options, and results.

"Very long" aortic grafts.

During the past 2 decades, we have been using the so-called "very long" (ascending to infrarenal aorta or ascending aorta to common femoral artery) bypass grafts in selected patients. Our experience with this method includes patients with dissecting as well as arteriosclerotic aneurysms of the descending aorta, thoracoabdominal aneurysms, patients in need of aortic surgery with previous abdominal aortic surgery, radiation treatment, aortic thrombosis, and complex aortic coarctation in the adult. The technique proved to be relatively easy to perform, was well tolerated by most patients and replaced more complicated and higher risk "conventional" operations. The advantages and shortcomings of the method as well as long range clinical observations are presented.